Individual
MICHELE LYNN STEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
662 WEST 168TH STREET, NEW YORK CITY, NY 10032
(845) 742-8128
Mailing address
191 GRANDVIEW AVE, NANUET, NY 10954-3120
(845) 742-8128
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020850-1
NY
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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